Individual
MISS LAURA J ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
3810 WINCHESTER RD, SOUTHEAST MENTAL HEALTH CENTER, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
185 YANKEE RD, COLLIERVILLE, TN 38017-5777
(901) 853-4223
(901) 369-1433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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